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Titolo:
The validity of Medicaid pharmacy claims for estimating drug use among elderly nursing home residents: The Oregon experience
Autore:
McKenzie, DA; Semradek, J; McFarland, BH; Mullooly, JP; McCamant, LE;
Indirizzi:
Oregon Hlth Sci Univ, Sch Nursing SN CHC, Portland, OR 97201 USA Oregon Hlth Sci Univ Portland OR USA 97201 SN CHC, Portland, OR 97201 USA Oregon State Univ, Coll Pharm, Corvallis, OR 97331 USA Oregon State Univ Corvallis OR USA 97331 l Pharm, Corvallis, OR 97331 USA Kaiser Permanente Ctr Hlth Res, Portland, OR 97227 USA Kaiser Permanente Ctr Hlth Res Portland OR USA 97227 rtland, OR 97227 USA Benedictine Inst Long Term Care, Mt Angel, OR USA Benedictine Inst Long Term Care Mt Angel OR USA m Care, Mt Angel, OR USA
Titolo Testata:
JOURNAL OF CLINICAL EPIDEMIOLOGY
fascicolo: 12, volume: 53, anno: 2000,
pagine: 1248 - 1257
SICI:
0895-4356(200012)53:12<1248:TVOMPC>2.0.ZU;2-H
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRESCRIPTION; SURVEILLANCE; DATABASES; ACCURACY; RECORDS; THERAPY;
Keywords:
pharmacoepidemiology; quality indicators; health services research methods; Medicaid; drug utilization review; claims;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: McKenzie, DA Oregon Hlth Sci Univ, Sch Nursing SN CHC, 3181 SW Sam JacksonPk Rd, Portland, OR 97201 USA Oregon Hlth Sci Univ 3181 SW Sam Jackson Pk Rd Portland OR USA 97201
Citazione:
D.A. McKenzie et al., "The validity of Medicaid pharmacy claims for estimating drug use among elderly nursing home residents: The Oregon experience", J CLIN EPID, 53(12), 2000, pp. 1248-1257

Abstract

This study compared computerized Medicaid pharmacy claims data for nursinghome residents with chart data to establish how well the claims data identified those receiving drugs within three different psychoactive drug classes (yes/no for each class) and how well the claims estimated total within-class average daily dose, Percent agreement, positive predictive Value (PPV),and negative predictive value (NPV) for drug exposure were over 85% for each class. Kappas were excellent for antipsychotics and antidepressants, andgood for anxiolytics. Correspondence was lower for average daily dose. Using an algorithm that credits some but not all doses associated with overlapping claims, correlations ranged from 0.97 to 0.66. Agreement on therapeutic dose was excellent for antipsychotics (kappa = 0.81) and fair to good forantidepressants and anxiolytics (kappa = 0.63, and kappa = 0.52, respectively). The findings suggest that Medicaid pharmacy claims data are reasonably accurate for quality assurance and accreditation purposes. (C) 2000 Elsevier Science Inc. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/01/20 alle ore 10:55:09